Individual
KAITLYN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8622
(803) 749-1155
(803) 749-1786
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 568-2000
(803) 568-5113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27522
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/13/2023
Last updated
05/05/2026
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